Active NPI
Sara Nasralla
- Pharmacist
- Maitland, FL
National Provider Identifier
1902477615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60676
- Practice address
- 330 S Orlando Ave
Maitland, FL 32751-5606 - Phone
- (407) 629-4669
- NPI assigned
- Jul 3, 2021
- Last updated
- Jul 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS60676 | FL | Primary |
Addresses
Primary practice location
330 S Orlando Ave
Maitland, FL 32751-5606
Mailing address
330 S Orlando Ave
Maitland, FL 32751-5606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS60676 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625270400000",
"number": "1902477615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S ORLANDO AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S ORLANDO AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515606",
"telephone_number": "407-629-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASRALLA",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-03",
"last_updated": "2021-07-03",
"certification_date": "2021-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.